| NPI | 1497100853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: SC MD61288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 61288) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2023-08-03 |